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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2011, Number 3

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Rev Esp Med Quir 2011; 16 (3)

Incidence of otorhinolaryngological manifestations of gastroesophageal reflux in Mexican young people

Montes RRA, Cárdenas PR

Language: Spanish
References: 19
Page: 152-156
PDF size: 319.08 Kb.


ABSTRACT

Background: The diagnosis of laryngo-pharyngeal reflux (LPR) has been increasing from 1990 to 2001; the annual number of inquiries related to this diagnosis has increased by 306% particularly for otolaryngologists. Populations based studies found that the prevalence of symptoms attributed to LPR was in the range of 15-20% and slightly more frequent on women (53-60%).
Objective: To show that the incidence of otorhinolaryngologic manifestations of laryngo-pharyngeal reflux increases with increasing age, also to state that the incidence is higher in females.
Material and methods: 704 young patients between 21 and 35 years old were included by revision of medical records in which it was identified the diagnosis of LPR, during April 01 to September 30, 2010. Were excluded patients with infectious or allergic diseases. Statistical analysis included measures of dispersion and central tendency, and a chi2 statistic test to approve the hypothesis: otorhinolaryngologic manifestations are more common in not young people.
Results: The incidence of LPR was 29.4% in young people, it was more frequent in women (69.6%) and at 35 years of age, with a mean of 33.4 years ± 2.12.
Conclusions: The incidence of otorhinolaryngologic manifestations due to laryngo-pharyngeal reflux is greater in the study population versus international reports; it is also higher in female patients, compatible with the current bibliography.


REFERENCES

  1. Koufman JA, Aviv JE, Casiano RR, Shaw GY. Laryngopharyngeal reflux: position statement of the Committee on Speech, Voice, and Swallowing Disorders of the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngol Head Neck Surg 2002;127:32-35.

  2. Groome M, Cotton JP, Borland M, McLeod S, et al. Prevalence of laryngopharyngeal reflux in a population with gastroesophageal reflux. Laryngoscope 2007;117:1424-1428.

  3. Ulualp SO, Rodriguez S, Holmes-Wright CN. Flexible laryngoscopy-guided pharyngeal pH monitoring in infants. Laryngoscope 2007;117:577-580.

  4. Fredrickson JM, Krause CJ, Harker LE, Schuller DE, Richardson MA. Otolaryngology and head and neck surgery. 3rd ed. St. Louis: Mosby; 1999:2411-2426.

  5. Bailey BJ, Johnson JT, Newlands SD, Calhoun KH, Deskin RW. Head and neck surgery-otolaryngology. 4th ed. Philadelphia: Lippincott, 1993;756-761.

  6. Ford CN. Evaluation and management of laryngopharyngeal reflux. Rev JAMA 2005;294:1534-1540.

  7. Carrau RL, Khidr A, Crawley JA, Hillson EM, et al. The impact of laryngopharyngeal reflux on patient-reported quality of life. Laryngoscope 2004;114(4):670-674.

  8. Lee KJ. Otorrinolaringología y cirugía de cabeza y cuello. 7ª ed. Ciudad de México: McGraw-Hill, 2004;889-890.

  9. Hsu CW, Fang TJ, Li HY, Chiang MJ. Is posterior laryngitis a reliable sign of laryngopharyngeal reflux? Rev Mosby 2003;129:224.

  10. Tauber S, Gross M, Issing WJ. Association of laryngopharyngeal symptoms with gastroesophageal reflux disease. Laryngoscope 2002;112(5):879-886.

  11. Cohen SM, Garrett CG. Hoarseness: is it really laryngopharyngeal reflux? Laryngoscope 2008;118(2):363-366.

  12. Harrell S, Evans B, Goudy S, Winstead W, et al. Design and implementation of an ambulatory pH monitoring protocol in patients with suspected laryngopharyngeal reflux. Laryngoscope 2005;115(1):89-92.

  13. Vaezi MF, Richter JE, Stasney CR, Spiegel JR, et al. Treatment of chronic posterior laryngitis with esomeprazole. Laryngoscope 2006;116(2):254-260.

  14. Escajadillo JR. Oídos, nariz, garganta y cirugía de cabeza y cuello. 2ª ed. Ciudad de México: Editorial El Manual Moderno, 2002;515-518.

  15. Fajardo DG, Chavolla MR. Otorrinolaringología. 1ª ed. Ciudad de México: Intersistemas, 2003;227-232.

  16. Contencin P, Adjoua P, Viala P, Erminy M, Narcy P. [Longterm esophageal and oropharyngeal pH-metry in ORL manifestations of gastroesophageal reflux in children]. Ann Otolaryngol Chir Cervicofac 1992;109(3):129-133.

  17. Koufman JA, Belafsky PC, Bach KK, Daniel E, Postma GN. Prevalence of esophagitis in patients with pH-documented laryngopharyngeal reflux. Laryngoscope 2002;112(9):1606-1609.

  18. Milstein CF, Charbel S, Hicks DM, Abelson TI, et al. Prevalence of laryngeal irritation signs associated with reflux in asymptomatic volunteers: impact of endoscopic technique (rigid vs. flexible laryngoscope). Laryngoscope 2005;115(12):2256-2261.

  19. Qadeer MA, Swoger J, Milstein C, Hicks DM, et al. Correlation between symptoms and laryngeal signs in laryngopharyngeal reflux. Laryngoscope 2005;115(11):1947-1952.




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